Worldwide, peroral endoscopic myotomy (POEM) has achieved remarkable initial outcomes in the treatment of achalasia. In China, POEM has developed very quickly since the first case was performed in our center in August 2010. With ex-perience, we have successfully performed POEM for special cases (such as pediatric patients, patients with sigmoid-type esophagus, and patients with recurrent sympto...

siniya, al-buhturä«'s famous poem for the deseription of ivan kasra is a descriptive masterpiece in arabic poetry , the most beautiful part being his description of “the antioch battle”, an awe-inspiring picture depicting the victory of iranian over the romans. this picture inspired him with wonder, then he reproduced it in his poem, so much so that when readers read it they can visual...

BACKGROUND/AIM Several uncontrolled studies comparing peroral endoscopic myotomy (POEM) and Heller myotomy have demonstrated equivalent short-term efficacy and safety. However, no data exists rergarding the cost of POEM and how it compares to that of robotic Heller myotomy (RHM). The primary aim of this study was to compare the inpatient charges incurred in patients who underwent POEM or RHM fo...

in arabic poetry, the device of repetition functions at two levels: form and meaning. in form, repetition makes for musical richness, and in meaning, it makes for emphasis. the present article is a study of repetition in “an address from the market of idleness” by palestinian poet samä«h al-qäsim. the poem depicts actual and possible palestinian sufferings inflicted by israelis and stresse...

BACKGROUND AND STUDY AIMS With the success of peroral endoscopic myotomy (POEM) in treatment of achalasia, its successful application to other spastic esophageal motility disorders such as Jackhammer esophagus has been noted. The question of whether the lower esophageal sphincter (LES) should be included in the myotomy for Jackhammer esophagus is a topic of current debate. Here, we report our e...

Peroral endoscopic myotomy (POEM) has been established as an optional treatment for achalasia. POEM is an endoluminal procedure that involves dissection of esophageal muscle fibers followed by submucosal tunneling. Inoue first attempted to use POEM for the treatment of achalasia in humans. Expanded indications of POEM include classic indications such as type I, type II, type III achalasia, fail...

INTRODUCTION Data on anesthesia management and outcomes associated with peroral endoscopic myotomy (POEM) performed exclusively in the endoscopy unit are limited. In this prospective study, we evaluated the safety of anesthesia management, and the feasibility and efficacy of POEM performed exclusively in the endoscopy unit. METHODS A single-center prospective study of consecutive patients wit...

Background and study aims Per-oral endoscopic myotomy (POEM) has emerged as an efficacious treatment modality for the management of achalasia cardia (AC) and non-achalasia spastic esophageal motility disorders. Initial results are encouraging. We analyzed the safety and efficacy of POEM in a large cohort of patients with AC. Patients and methods The data from patients who underwent POEM (from J...

In blunt terms, the thesis I argue for here is that poetry is of no use in health care ethics education, because poetry is of no use. Put more circumspectly, insofar as a poem is given to health care students to read as a poem, it will not help achieve the ends of health care ethics education This is a conceptual point, arising from the idea that any genuine engagement of an individual with a p...